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NPI Code Detail

MEDICARE: MAYSOUN GHABRA M.D.

MEDICARE: MAYSOUN GHABRA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZC0500XCytopathology PhysicianMD054907LPA
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD054907LPA

General Provider Information

NPI Number : 1972503787
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYSOUN GHABRA M.D.
Provider Business Mailing Address
First Line : 1600 E HIGH ST
Second Line :
City : POTTSTOWN
State : PA
Zip : 19464-5008
Country : US
Telephone Number : 610-327-7000
Fax Number : 610-327-7432
Provider Business Practice Location Address
First Line : 1600 E HIGH ST
Second Line :
City : POTTSTOWN
State : PA
Zip : 19464-5008
Country : US
Telephone Number : 610-327-7000
Fax Number : 610-327-7432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 05/03/2013

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